REBECCA HUMPHREYS – Clinical Social Worker, NPI 1265831747

REBECCA HUMPHREYS is a healthcare provider. based in Heppner, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold a License No. L5101 (OR). The NPI Number for REBECCA HUMPHREYS is 1265831747

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA HUMPHREYS
NPI
1265831747
Phone
(541) 676-9161
Address
120 S Main St
Enumeration Date
20 August 2014
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3173992401
Group Practice PAC ID
2365359296
Professional Enrollment ID
I20221208002413
Address ID
OR978360000HEPOXXXBOXX203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for REBECCA HUMPHREYS

  • 120 S Main St

    Heppner, OR 978362033

    Phone: (541) 676-9161

    Fax: (541) 676-5662

    Type: Location

  • PO BOX 243

    HEPPNER, OR 978360243

    Phone: (541) 626-6611

    Type: Mailing

  • PO BOX 9

    HEPPNER, OR 978360009

    Phone: (541) 676-5504

    Fax: (541) 676-9025

    Type: Location

  • 120 S MAIN ST

    HEPPNER, OR 978362033

    Phone: (541) 676-9161

    Fax: (541) 676-5662

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221208002413IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97836)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365359296View full group profile
NameSpecialtyState
Physician AssistantOR
-IL
Emergency Medicine, Family PracticeMO
Clinical Social WorkerOR
Family PracticeOR
Physician AssistantOR
Physician AssistantOR
-OR
Nurse PractitionerOR
Emergency MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for REBECCA HUMPHREYS in U.S. healthcare records?
The official identifier for REBECCA HUMPHREYS is NPI 1265831747.
Active or inactive — what applies to REBECCA HUMPHREYS?
You should see REBECCA HUMPHREYS as active in CMS-hosted NPPES data.
What expertise is attributed to REBECCA HUMPHREYS?
REBECCA HUMPHREYS's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Oregon is REBECCA HUMPHREYS registered?
Use Heppner, Oregon as the headline location for REBECCA HUMPHREYS here.
When was this NPI issued?
Enumeration for REBECCA HUMPHREYS is noted as August 20, 2014 where the registry provides it.

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